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SMI IMAGING LLC NPI 1598098725


NPI Information

NPI: 1598098725
Provider Name: SMI IMAGING, LLC

Other Name: SIMONMED IMAGING - DOBSON VILLAGE II

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D1098133

Address:
1870 W FRYE RD STE 3
CHANDLER, AZ
ZIP 85224
Phone: (480) 264-2350
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SMI IMAGING, LLC is a diagnostic radiology radiology in Chandler, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SMI IMAGING, LLC NPI is 1598098725. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Simonmed Imaging - Dobson Village Ii.

The provider's business location address is:

1870 W FRYE RD STE 3
CHANDLER, AZ
ZIP 85224-233
Phone: (480) 264-2350
Fax: (480) 264-2399

The provider's authorized official is Howard J Simon .
The authorized official title is President and has the following contact phone number (480) 264-2400.

The CLIA number assigned to this NPI record is 03D1098133 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2009 and was last updated on 5/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyOTC4688ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1473386MEDICAIDARIZONA
2Z136068MEDICARE PINARIZONA
3P00811052OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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